论文部分内容阅读
目的探讨绝经妇女宫腔积脓的原因、诊断及治疗方法。方法对牡丹江医学院红旗医院收治的1例绝经妇女宫腔积脓的临床表现及辅助检查进行回顾性分析。结果引起绝经妇女宫腔积脓的原因与老年性阴道炎和子宫内膜炎、绝经后不及时取出节育器及合并子宫内膜癌有关。临床表现为腹痛、发热、阴道排液(阴道出血),经过详细的询问病史、妇科检查、适当的实验室检查可明确诊断。结论绝经妇女宫腔积脓病程进展缓慢,临床表现不典型,易误诊,有时可引起严重的并发症,应针对原因进行预防,早期诊断,及时治疗。
Objective To investigate the causes, diagnosis and treatment of uterine empyema in postmenopausal women. Methods A retrospective analysis was performed on the clinical manifestations and ancillary examination of 1 case of posterior uterus empyema in Hongqi Hospital of Mudanjiang Medical College. The results of menopausal women cause uterine empyema reasons and senile vaginitis and endometritis, postmenopausal IUD not timely removal and associated with endometrial cancer. Clinical manifestations of abdominal pain, fever, vaginal discharge (vaginal bleeding), after detailed history, gynecological examination, appropriate laboratory tests can confirm the diagnosis. Conclusions The progress of uterine empyema in menopausal women is slow and the clinical manifestations are not typical. Misdiagnosis is easy, and sometimes serious complications can be caused. Preventive, early diagnosis and timely treatment should be given according to the reasons.